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Dr. Brandon Macy
Podiatrist - Clark, NJ
1114 Raritan Road
Clark, NJ 07066

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Posts for tag: clubfoot

By Clark Podiatry Center
January 16, 2019

Congratulations! You have a little one on the way, and so you might be wondering all about how to care for him or her. There’s a lot to consider, like feeding, bathing, sleeping, swaddling, and of course, changing diapers. Getting all of those things figured out is not easy, and your mind might be swirling.

Just take one thing at a time, and you’ll be just fine!

Right after your baby is born, one of the first things you might want to do is to count the fingers and toes, to make sure you’ve got 10 of each. Your doctor will do the same to make sure the baby has no major problems. Just so that you are aware, after the exhaustion of giving birth, your care team will examine the following about your newborn’s feet:

  • Count the toes – Sometimes, babies can be born with 6 toes on one or both of the feet called polydactyly. Don’t worry though it can be easily treated by a simple surgical removal from the foot. Then, the child’s foot/feet will begin to develop normally, with 5 toes.
  • Check the toes – Some children can be born with webbed toes. They can be surgically corrected during infancy, or if there are no developmental problems, can be left alone.
  • Tickle the feet – The doctor will tickle the feet to make sure the nerves are functioning properly. When the feet are tickled, they should play.
  • Check the shape of the feet – If the feet and toes seem to point forward, the baby will likely have normal development. However, if the foot has more of a “C” shape, this is called metatarsus adductus. It can cause pigeon-toeing and difficulty fitting into shoes properly, depending on the severity of the deformity. Stretching and plastering starting from infancy will help correct the shape.
  • Check the angle of the feet – Depending on genetics or how much room the baby has in the womb, the feet can look like they are turned inward. With this condition, called clubfoot, the outer part and front part of the ankle is overstretched. Don’t worry too much though. Treatment can begin right after birth, while the bones are still soft. Doctors will stretch and cast the foot so that it develops more and more toward the proper position. Special orthotics can be used when the baby starts to walk in order to keep the position correct.
  • Check the ankles, knees, and hips – This is to ensure that their legs are not dislocated during the birthing process. Dislocation can cause the baby severe discomfort and abnormal development.

If your baby was born with normal feet, that’s great news! But if you’ve been informed about foot problems from birth, don’t worry, we can help! After initial care at the hospital, continued care can be sought at our office. Come see our board-certified podiatrist, Dr. Brandon Macy at New Jersey Children's Foot Health Institute of Clark Podiatry Center. He can assess your feet, and find the best treatment for your baby’s foot needs. Make an appointment at our Clark, NJ office so we can keep you walking.

 

By Clark Podiatry Center
October 02, 2018
Category: Pregnancy

During pregnancy, many things change. Your body reacts to the internal and external environment differently. And as the body begins to prepare for the last few months of pregnancy and giving birth, it retains more fluids and even allows for bones to shift. It’s amazing what the body is capable of doing!

Here’s what to look for during pregnancy, for baby and mama’s feet.

Baby’s Feet:

  • Feet will begin to form with separated toes at about 10 weeks
  • They will use the feet to help them move and explore the amniotic sac
  • Closer to the end of the pregnancy, toe or foot deformities can be detected, such as clubfoot, overlapping toes, amniotic band syndrome, or polydactyly. Don’t worry though, as these are not common occurrences.

Speak to our podiatrist at Clark Podiatry Center if you have concerns about your baby’s foot development in the womb.

Mother’s Feet:

  • Water retention and natural weight gain will cause edema. The swelling can cause discomfort in the feet and even change sensation.
  • The extra weight that the mother carries can flatten the arches and cause the ankles to roll inward, as with overpronation. Over time, this can cause chronic issues like plantar fasciitis and/or Achilles tendonitis.
  • Cramping can occur in the feet and/or legs as part of pregnancy. The exact cause is unknown but stretching, walking, hydration, and comfortable footwear can help prevent cramps.
  • As the feet change, pressure points can change as well. Pain can occur in the heel, arch, or balls of feet as a consequence of problems like edema and overpronation.

To find relief from these symptoms and changes, try some of the following:

  • Rest often so that your feet do not have to overwork. Schedule in times to rest.
  • Use compression socks and elevate your feet to reduce swelling.
  • Wear comfortable shoes with good supportive features and cushioning.
  • Stay active to increase circulation of fluids back up from your feet and ankles, and to prevent cramping.

If you notice that your feet are swelling unevenly or excessively, you might have a clot. Get medical care immediately. With other mild concerns, come to see our board-certified podiatrist, Dr. Brandon Macy for an assessment throughout your pregnancy. Make an appointment today to have your feet treated with care. We are located in Clark, NJ and serve patients in all of Union County! We keep you walking!

By Clark Podiatry Center
May 04, 2017
Tags: clubfoot   Ponseti Method  

In about 1 in 1000 live births in the US, babies can be born with a deformity called Clubfoot. The infant’s foot can be turned inward or twisted out of shape. This birth defect, in which babies are born with short tendons, can affect the muscles in the feet, ankles, and calves. Doctors can identify clubfoot upon inspection shortly after birth, which can help increase the chance of correcting the problem without surgery as babies grow.

What causes clubfoot?

The exact cause of clubfoot is unknown, but researchers believe that is can be caused by a combination of hereditary factors and environment (during pregnancy). It seems that if the parents have had clubfoot, or if a sibling was born with it, subsequent babies are more likely to be born with clubfoot as well. As for environmental factors, there is not enough amniotic fluid, or if the mother smokes or uses drugs during pregnancy, there is a higher risk of abnormal growth. Additionally, genetic and development factors such as birth defects come into play, chances are higher for clubfoot.

What are Treatment Options?

If left untreated, your baby will have a harder time with crawling and walking. It may or may not cause pain, but things like gait, shoe size, and calf size can all affect quality of life. More serious, long-term consequences include mobility issues and development of arthritis. When treated early enough, further complications can be avoided.

Some treatment options include:

  • Ponseti method – Since your baby’s feet are still very flexible, your doctor will move the foot (or feet) into the correct position and put it in a cast to keep it there. This may also require re-casting to slowly move the foot into a better position for proper development. If necessary, the doctor may also require minor surgery to lengthen the Achilles tendon.
  • Surgery – If the above method does not work, it may be necessary to perform a more invasive surgery in which several tendons need to be lengthened. A cast will be required after the surgery as well.

After the corrective measures are taken, it is important to keep up with maintenance procedures such as stretching and bracing to prevent the foot from reverting to the clubfoot position. This may mean using special shoes during the day and braces during the night. Even with surgery or Ponseti method treatment, your child may need additional corrective surgery when they are older and their bodies are more fully developed.

Was your baby born with clubfoot? Make an appointment today at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy will assess your child’s feet to find the best treatment for clubfoot. We are located in Clark, NJ and serve patients in all the surrounding Union County towns!

 



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1114 Raritan Road
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Podiatrist - Clark, Dr. Brandon Macy, 1114 Raritan Road, Clark NJ, 07066 732-382-3470